Individual
BERRI E SWASAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 S OAK ST, IOWA FALLS, IA 50126-9506
(641) 648-7101
(641) 648-7098
Mailing address
920 S OAK ST, IOWA FALLS, IA 50126-9506
(641) 648-7132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6849
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002780700
—
ID
01
—
080111845
RAIL ROAD MEDICARE
ID
01
—
8317570
WA MEDICAID
ID
Enumeration date
06/04/2006
Last updated
10/06/2020
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